Skip to main content

Improving Pressure Injury Prevention by Using Wearable Sensors to Cue Critical Care Patient Repositioning.

Publication ,  Journal Article
Turmell, M; Cooley, A; Yap, TL; Alderden, J; Sabol, VK; Lin, J-RA; Kennerly, SM
Published in: American journal of critical care : an official publication, American Association of Critical-Care Nurses
July 2022

Repositioning patients at regular intervals is the standard of care for pressure injury prevention, yet compliance with routine repositioning schedules can be hard to achieve in busy critical care environments. Cueing technology may help improve repositioning compliance.To determine whether using wearable patient sensors to cue nurses about patients' repositioning needs could improve compliance with an every-2-hour repositioning protocol.A sequential pretest-posttest study design was used in a 12-bed medical intensive care unit. The study occurred in 2 phases. In phase 1, eligible patients wore a triaxial accelerometer-based sensor; nurses were blinded to the data. In phase 2, the sensor technology provided staff with visual cues about patients' positions and repositioning needs. The primary measure was repositioning protocol compliance, which was compared between phase 1 and phase 2 with weighted t tests. Unit staff members were surveyed before the start of phase 1 and at the end of phase 2.In phase 1, 25 patients met the inclusion criteria. Phase 2 began 1 day after phase 1 and included 29 patients. In phase 1, repositioning compliance was 55%, and the mean repositioning interval was 3.8 hours. In phase 2, repositioning protocol compliance increased to 89%, and the mean repositioning interval was 2.3 hours. Nursing staff survey results showed improved teamwork in phase 2.Visual cueing about patients' mobility needs is associated with increased compliance with the facility repositioning protocol.

Duke Scholars

Altmetric Attention Stats
Dimensions Citation Stats

Published In

American journal of critical care : an official publication, American Association of Critical-Care Nurses

DOI

EISSN

1937-710X

ISSN

1062-3264

Publication Date

July 2022

Volume

31

Issue

4

Start / End Page

295 / 305

Related Subject Headings

  • Wearable Electronic Devices
  • Pressure Ulcer
  • Nursing
  • Moving and Lifting Patients
  • Humans
  • Cues
  • Critical Care
  • 4205 Nursing
  • 3202 Clinical sciences
  • 1110 Nursing
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Turmell, M., Cooley, A., Yap, T. L., Alderden, J., Sabol, V. K., Lin, J.-R., & Kennerly, S. M. (2022). Improving Pressure Injury Prevention by Using Wearable Sensors to Cue Critical Care Patient Repositioning. American Journal of Critical Care : An Official Publication, American Association of Critical-Care Nurses, 31(4), 295–305. https://doi.org/10.4037/ajcc2022701
Turmell, Michelle, Annemari Cooley, Tracey L. Yap, Jenny Alderden, Valerie K. Sabol, Jiunn-Ru Angela Lin, and Susan M. Kennerly. “Improving Pressure Injury Prevention by Using Wearable Sensors to Cue Critical Care Patient Repositioning.American Journal of Critical Care : An Official Publication, American Association of Critical-Care Nurses 31, no. 4 (July 2022): 295–305. https://doi.org/10.4037/ajcc2022701.
Turmell M, Cooley A, Yap TL, Alderden J, Sabol VK, Lin J-RA, et al. Improving Pressure Injury Prevention by Using Wearable Sensors to Cue Critical Care Patient Repositioning. American journal of critical care : an official publication, American Association of Critical-Care Nurses. 2022 Jul;31(4):295–305.
Turmell, Michelle, et al. “Improving Pressure Injury Prevention by Using Wearable Sensors to Cue Critical Care Patient Repositioning.American Journal of Critical Care : An Official Publication, American Association of Critical-Care Nurses, vol. 31, no. 4, July 2022, pp. 295–305. Epmc, doi:10.4037/ajcc2022701.
Turmell M, Cooley A, Yap TL, Alderden J, Sabol VK, Lin J-RA, Kennerly SM. Improving Pressure Injury Prevention by Using Wearable Sensors to Cue Critical Care Patient Repositioning. American journal of critical care : an official publication, American Association of Critical-Care Nurses. 2022 Jul;31(4):295–305.

Published In

American journal of critical care : an official publication, American Association of Critical-Care Nurses

DOI

EISSN

1937-710X

ISSN

1062-3264

Publication Date

July 2022

Volume

31

Issue

4

Start / End Page

295 / 305

Related Subject Headings

  • Wearable Electronic Devices
  • Pressure Ulcer
  • Nursing
  • Moving and Lifting Patients
  • Humans
  • Cues
  • Critical Care
  • 4205 Nursing
  • 3202 Clinical sciences
  • 1110 Nursing